What should a responder do before approaching a casualty to provide care under fire?

In a situation where a responder is dealing with a casualty under fire, the priority is to ensure their own safety while also providing assistance. Returning fire as directed or required is critical in this context. The rationale behind this action is that the responder must neutralize the threat before safely approaching the casualty to administer care. Ensuring the area is secure minimizes the risk of additional injuries to both the responder and the casualty.

Although assessing the environment for safety and other considerations such as performing a preliminary evaluation or calling for backup support are important actions in an emergency response, they may not take precedence over the immediate need to protect oneself and others from ongoing threats. In a combat or hostile environment, the responder must first address any immediate threats to create a safe space to provide care effectively. This focus on returning fire reflects the need for situational awareness and tactical response in high-stress situations to ensure the safety of all involved.